Readiness to quit smoking and quit attempts among Australian mental health inpatients
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INTRODUCTION: Mental health inpatients smoke at higher rates than general population smokers. However, provision of nicotine-dependence treatment in inpatient settings is low, with barriers to the provision of such care including staff views that patients do not want to quit. This paper reports the findings of a survey of mental health inpatients at a psychiatric hospital in New South Wales, Australia, assessing smoking and quitting motivations and behaviors. METHODS: Smokers (n = 97) were surveyed within the inpatient setting using a structured survey tool, incorporating the Fagerström Test for Nicotine Dependence, Reasons for Quitting Scale, Readiness and Motivation to Quit Smoking Questionnaire, and other measures of smoking and quitting behavior. RESULTS: Approximately 47% of smokers reported having made at least one quit attempt within the past 12 months, despite nearly three quarters (71.2%) being classified as in a "precontemplative" stage of change. Multinomial logistic regressions revealed that self-reporting "not enjoying being a smoker" and having made a quit attempt in the last 12 months predicted having advanced beyond a precontemplative stage of change. A high self-reported desire to quit predicted a quit attempt having been made in the last 12 months. CONCLUSIONS: The majority of smokers had made several quit attempts, with a large percentage occurring recently, suggesting that the actual quitting behavior should be considered as an important indication of the "desire to quit." This paper provides further data supporting the assertion that multimodal smoking cessation interventions combining psychosocial and pharmacological support should be provided to psychiatric inpatients who smoke.
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Data on willingness to quit smoking in people with severe mental illness are inconclusive; both less motivation and similar motivation compared to smokers without mental health problems have been reported.
“Data on willingness to quit smoking in people with severe mental illness are inconclusive; both less motivation (61) and similar motivation (62) compared to smokers without mental health problems have been reported.”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [62]
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- Authors
- Stockings, E., Bowman, J., McElwaine, K., Baker, A., Terry, M., Clancy, R., Bartlem, K., Wye, P., Bridge, P., Knight, J., & Wiggers, J.
- Affiliations
- John Hunter Hospital (AU)
- Government of New South Wales (AU)
- University of Newcastle Australia (AU)
- Hunter New England Local Health District (AU)
- Corresponding author
- Stockings, E.
- Venue
- Nicotine & Tobacco Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-10-22
- Volume
- 15
- Issue
- 5
- Pages
- 942-949
- ISSN
- 1462-2203 (ISSN-L)
- 1469-994X
- PMC
- PMC3621580
- OpenAlex
- W2124054151
- Cited by
- 76
- References
- 62
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 7 · 2020: 5 · 2019: 9 · 2018: 4 · 2017: 9 · 2016: 11 · 2015: 11 · 2014: 4 · 2013: 3
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Nicotine & Tobacco Research (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- NOVA (University of Newcastle Australia) (submittedVersion, cc-by-nc-nd)
- UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
- Figshare (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Australian Rotary Health
- Hunter Medical Research Institute
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- smoking cessation, psychiatric inpatients, psychiatric hospitalization, nicotine dependence, quit attempts, readiness to quit, stages of change, desire to quit, tobacco dependence treatment
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Cross-Sectional Studies, Data Collection, Female, Health Promotion, Hospitals, Psychiatric, Humans, Inpatients, Male, Middle Aged, Motivation, New South Wales, Smoking, Tobacco Use Disorder, Smoking Cessation, Young Adult
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